NPI | 1437174778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR 7600) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 28653) |
183500000X Pharmacist (Licence: NV 11385) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2007-07-08 |