NPI | 1467746974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 13248) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MN 119644) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2011-06-01 |