NPI | 1558400184 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 6216012-8911) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 42455) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2007-08-01 |