NPI | 1548476427 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 15875) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 40403) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2007-07-08 |