| NPI | 1881796183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 22242) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01037543A) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2014-05-20 |