NPI | 1194017350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MA 18055) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21484) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2011-05-06 |