NPI | 1790061927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WI 9665-40) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MN 113052) |
Enumeration Date | 2011-11-02 |
Last Update Date | 2011-11-02 |