NPI | 1043556269 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13295) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP444879) |
Enumeration Date | 2012-12-15 |
Last Update Date | 2012-12-15 |