NPI | 1700176468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 16891) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH020414) |
Enumeration Date | 2011-04-14 |
Last Update Date | 2011-04-14 |