NPI | 1679897003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NM 3654) |
Additional Taxonomies | 174400000X Specialist (Licence: NM LMT3654) |
Enumeration Date | 2010-03-14 |
Last Update Date | 2010-03-14 |