NPI | 1043593379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 49274) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 13236) |
Enumeration Date | 2011-09-22 |
Last Update Date | 2011-09-22 |