| NPI | 1902251259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 80930) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G80930) |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2016-04-24 |