NPI | 1154698355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CO 18744) |
Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: CO 18744) |
Enumeration Date | 2011-11-16 |
Last Update Date | 2011-11-16 |