NPI | 1033254701 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps0020661) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03315522) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-07-09 |