NPI | 1497066906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 59419) |
Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: CA 59419) |
Enumeration Date | 2010-06-30 |
Last Update Date | 2010-06-30 |