NPI | 1639321037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KY 14179) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 33500) |
183500000X Pharmacist (Licence: SC 12801) | |
Enumeration Date | 2008-10-16 |
Last Update Date | 2012-10-25 |