NPI | 1629368626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 18800) |
Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000613) |
183500000X Pharmacist (Licence: DE A1-000383) | |
Enumeration Date | 2011-04-11 |
Last Update Date | 2011-04-11 |