NPI | 1821498700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S017610) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 9150-40) |
Enumeration Date | 2014-08-28 |
Last Update Date | 2014-08-28 |