NPI | 1437541943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OK 11248) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 37137) |
Enumeration Date | 2015-02-21 |
Last Update Date | 2015-02-21 |