NPI | 1326333899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2007028943) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-14390) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2011-06-13 |