NPI | 1033528641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WI 17019-40) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21944) |
Enumeration Date | 2014-08-07 |
Last Update Date | 2014-08-07 |