NPI | 1508069675 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 14408) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP438444) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2007-07-08 |