NPI | 1528100682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AL 15437) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 045197) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2007-07-08 |