| 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 |