NPI | 1497036412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: LA 019279) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 49662) |
Enumeration Date | 2011-09-03 |
Last Update Date | 2011-09-03 |