NPI | 1336164854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000019781) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26013834A) |
183500000X Pharmacist (Licence: OH 03-1-26039) | |
183500000X Pharmacist (Licence: KY 013079) | |
183500000X Pharmacist (Licence: CO 17188) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2011-11-15 |