NPI | 1235122987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA rph022052) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA rph52855) |
Enumeration Date | 2005-08-29 |
Last Update Date | 2007-07-08 |