| NPI | 1841251733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 14232) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01022330A) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2007-07-08 |