NPI | 1396812640 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-14607) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 10947) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2009-12-11 |