NPI | 1184976649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22175) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA 19055) |
183500000X Pharmacist (Licence: NH r1905) | |
Enumeration Date | 2012-10-09 |
Last Update Date | 2012-10-09 |