NPI | 1306837372 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-26578) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 40090) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2007-07-08 |