NPI | 1275819781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S020657) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO 15278) |
183500000X Pharmacist (Licence: NV 13565) | |
Enumeration Date | 2011-10-28 |
Last Update Date | 2015-03-28 |