NPI | 1083688063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS31775) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03211344) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2007-07-08 |