NPI | 1235151184 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH0010764) |
Additional Taxonomies | 183500000X Pharmacist (Licence: UT 3604171701) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2007-07-08 |