NPI | 1497910665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 12970) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 12992) |
183500000X Pharmacist (Licence: IA 19554) | |
Enumeration Date | 2008-07-26 |
Last Update Date | 2008-07-30 |