NPI | 1235460932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps45123) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202209241) |
Enumeration Date | 2010-01-19 |
Last Update Date | 2010-01-19 |