NPI | 1295035608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 1744R1102X Specialist Research Study |
374K00000X Religious Nonmedical Practitioner | |
Enumeration Date | 2010-11-01 |
Last Update Date | 2010-11-01 |