NPI | 1528344728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP441833) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 29521) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2011-11-01 |