NPI | 1750635728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 48491) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA 442483) |
Enumeration Date | 2012-10-30 |
Last Update Date | 2012-10-30 |