NPI | 1629325113 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03120259) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015857) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2012-08-14 |