NPI | 1295047231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 11923) |
Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000775) |
Enumeration Date | 2010-07-07 |
Last Update Date | 2010-07-07 |