NPI | 1700948775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302032045) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS39170) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2011-08-04 |