NPI | 1417298712 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 9049) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AK 2012) |
183500000X Pharmacist (Licence: VI 273) | |
Enumeration Date | 2013-03-12 |
Last Update Date | 2013-03-12 |