NPI | 1619116233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302038482) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18638) |
Enumeration Date | 2009-02-05 |
Last Update Date | 2009-02-05 |