NPI | 1245345552 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 152594-1701) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 15916) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2007-07-08 |