NPI | 1508884701 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KY 009830) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IA 16740) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2007-07-17 |