NPI | 1588946297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KY 012612) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA-16484) |
183500000X Pharmacist (Licence: NM RP00005871) | |
183500000X Pharmacist (Licence: OR RPH-0008610) | |
Enumeration Date | 2011-09-20 |
Last Update Date | 2011-09-20 |