| NPI | 1689920290 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1744G0900X Specialist, Graphics Designer (Licence: NY 1343882)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1343882)  | 
| Enumeration Date | 2012-08-01 | 
| Last Update Date | 2013-05-01 |