NPI | 1407960032 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 15124) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 6081) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2007-07-08 |