NPI | 1730450461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 66881) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH233858) |
Enumeration Date | 2012-01-26 |
Last Update Date | 2012-01-26 |