NPI | 1205969425 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NH R2057) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ME pr5330) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2011-01-20 |