NPI | 1487767190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G833738) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G83738) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2024-02-27 |