NPI | 1598824799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 31550) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP31661L) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-08 |