NPI | 1780029876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0004542) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03317167) |
Enumeration Date | 2013-05-03 |
Last Update Date | 2013-05-03 |