NPI | 1043505944 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03230604) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302039954) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2011-06-20 |