NPI | 1548692213 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 22049) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.297320) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2015-01-20 |