NPI | 1427057876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302029213) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5302029213) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2007-07-30 |