NPI | 1346648524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS46244) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH27529) |
Enumeration Date | 2014-12-20 |
Last Update Date | 2014-12-20 |