NPI | 1376601252 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4243) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MN 116696-9) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2007-07-08 |