NPI | 1518068360 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TN 11412) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 39865) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2007-07-08 |