NPI | 1487945234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302040269) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015247) |
Enumeration Date | 2011-04-28 |
Last Update Date | 2011-04-28 |