NPI | 1285919431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 044699) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-11946) |
Enumeration Date | 2011-10-19 |
Last Update Date | 2016-08-30 |