NPI | 1275921926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-13781) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IA 17850) |
183500000X Pharmacist (Licence: MO 2004034226) | |
Enumeration Date | 2015-01-05 |
Last Update Date | 2015-01-05 |