NPI | 1336419613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47343) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302022213) |
Enumeration Date | 2012-01-04 |
Last Update Date | 2012-01-04 |