NPI | 1013289073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA 025446) |
Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13298) |
Enumeration Date | 2012-02-06 |
Last Update Date | 2012-02-06 |