NPI | 1144551243 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WI 12179-40) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21631) |
183500000X Pharmacist (Licence: MI 5302041163) | |
183500000X Pharmacist (Licence: IL 051295616) | |
Enumeration Date | 2010-01-29 |
Last Update Date | 2015-10-29 |