NPI | 1821051244 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS38868) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03219554) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2007-07-08 |