NPI | 1194072199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 266413-1701) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 8001) |
Enumeration Date | 2012-08-08 |
Last Update Date | 2012-08-08 |