NPI | 1710254842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP445345) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS45272) |
Enumeration Date | 2011-11-17 |
Last Update Date | 2011-11-17 |