| NPI | 1710115647 |
|---|---|
| Other Name | ELLIS ZIEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: FL ME165778) |
| Additional Taxonomies | 2085R0001X (Licence: CA A130980) |
| 2085R0001X (Licence: IL 125.058538) | |
| 2085R0001X (Licence: WA MD60548275) | |
| 2085R0001X (Licence: GA 87423) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-12-01 |