NPI | 1356689889 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: LA 15276) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH45141) |
Enumeration Date | 2013-01-17 |
Last Update Date | 2013-01-17 |