NPI | 1407835796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AR C-4325) |
Additional Taxonomies | 174400000X Specialist (Licence: AR C4325) |
Enumeration Date | 2006-01-13 |
Last Update Date | 2018-03-14 |