NPI | 1629295126 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS0022673) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-036162) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-07-08 |