NPI | 1770692865 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: IN 34002486A) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IN 35001206A) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-08 |