NPI | 1619399771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00005383) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH 46073) |
Enumeration Date | 2014-01-09 |
Last Update Date | 2014-01-09 |