NPI | 1285915579 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-14632) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 40849) |
Enumeration Date | 2011-08-31 |
Last Update Date | 2011-08-31 |