NPI | 1780985994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CO 18935) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3388) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2010-11-04 |