NPI | 1285919357 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 10600) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-13084) |
Enumeration Date | 2011-10-20 |
Last Update Date | 2011-10-20 |