NPI | 1326553314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other Art, Medical (Licence: ID 1) |
Additional Taxonomies | 246ZA2600X Specialist/Technologist, Other Art, Medical |
246ZA2600X Specialist/Technologist, Other Art, Medical | |
Enumeration Date | 2017-12-12 |
Last Update Date | 2017-12-12 |