NPI | 1245639384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: LA 020542) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 44937) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-14 |