NPI | 1336426493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13492) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA 026337) |
Enumeration Date | 2011-11-03 |
Last Update Date | 2011-11-03 |