| NPI | 1649605411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156F00000X Technician/Technologist (Licence: CA 8292) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2023-05-09 |