NPI | 1700226370 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2011026621) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051295374) |
Enumeration Date | 2013-06-27 |
Last Update Date | 2013-06-27 |