NPI | 1629140272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-13239) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 045247) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2007-07-08 |