NPI | 1205812724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 06756) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH010744) |
Enumeration Date | 2005-12-16 |
Last Update Date | 2007-07-08 |