NPI | 1649423625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202207667) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 17783) |
Enumeration Date | 2008-11-04 |
Last Update Date | 2008-11-04 |