NPI | 1639597453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22970) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS48328) |
Enumeration Date | 2014-03-29 |
Last Update Date | 2014-03-29 |