NPI | 1588005987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS38703) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 41012) |
Enumeration Date | 2013-07-13 |
Last Update Date | 2013-07-13 |