NPI | 1467720524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AK 1880) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS44869) |
Enumeration Date | 2011-12-05 |
Last Update Date | 2011-12-05 |