NPI | 1386721439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-14021) |
Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: OH 03-2-14021) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |