NPI | 1205077468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 8302028956) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 12894) |
Enumeration Date | 2009-03-18 |
Last Update Date | 2009-03-18 |