NPI | 1609939941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MT 3784) |
Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: MT 3784) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2014-01-10 |