NPI | 1477839454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 47121) |
Additional Taxonomies | 183500000X Pharmacist (Licence: LA 019668) |
Enumeration Date | 2011-10-23 |
Last Update Date | 2012-09-12 |