NPI | 1487887956 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP042282L) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO 15044) |
Enumeration Date | 2009-08-31 |
Last Update Date | 2009-08-31 |