NPI | 1700212305 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: SD R6248) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IA IA22077) |
Enumeration Date | 2013-09-16 |
Last Update Date | 2015-02-19 |