NPI | 1316263973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AR pd09142) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000033412) |
183500000X Pharmacist (Licence: MO 2007025915) | |
Enumeration Date | 2010-04-07 |
Last Update Date | 2010-04-07 |