NPI | 1013298371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03120397) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp041319t) |
Enumeration Date | 2011-08-31 |
Last Update Date | 2011-08-31 |