NPI | 1184829285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 13846) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-1-20463) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2010-10-18 |