NPI | 1386052348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0008601) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017250) |
Enumeration Date | 2014-07-22 |
Last Update Date | 2014-07-22 |