NPI | 1689729675 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: PR 3532) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS22688) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2007-07-08 |