NPI | 1649517715 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS16014) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH12337) |
Enumeration Date | 2013-01-09 |
Last Update Date | 2013-01-09 |