NPI | 1295715928 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302410858) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA 00056824) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2007-07-08 |