NPI | 1770852550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20459) |
Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0004265) |
Enumeration Date | 2011-12-22 |
Last Update Date | 2012-03-24 |