NPI | 1932142023 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: ME TD061026) |
Additional Taxonomies | 174400000X Specialist (Licence: CO 16535) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2010-12-29 |