NPI | 1063543841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 12679) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 13273-40) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2014-01-17 |