| NPI | 1285046573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NC P14608) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC PT.12181PT) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2024-08-07 |