NPI | 1255470738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302030502) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS39914) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2007-07-08 |