NPI | 1871035147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX AT4835) |
Additional Taxonomies | 174400000X Specialist (Licence: TX 1029109) |
Enumeration Date | 2016-11-17 |
Last Update Date | 2016-11-17 |