NPI | 1376952838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18167) |
Additional Taxonomies | 183500000X Pharmacist (Licence: SC 6407) |
Enumeration Date | 2014-08-09 |
Last Update Date | 2014-08-09 |