NPI | 1669782587 |
---|---|
Other Name | GILLIAM RICHARDS SANFORD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 143283-30) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 13210-40) |
Enumeration Date | 2010-10-13 |
Last Update Date | 2010-10-13 |