NPI | 1275825820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WV 3789) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03327070) |
183500000X Pharmacist (Licence: KY 013954) | |
Enumeration Date | 2011-05-13 |
Last Update Date | 2011-05-13 |