| NPI | 1487673703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01064794) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 00013294) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-11-01 |