NPI | 1144463514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45217) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03227848) |
Enumeration Date | 2009-04-14 |
Last Update Date | 2010-09-24 |