NPI | 1356658496 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03124716) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KY 012435) |
Enumeration Date | 2010-09-10 |
Last Update Date | 2010-09-10 |