NPI | 1487998555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH38437) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 08591) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |