NPI | 1831461649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835N1003X Pharmacist, Nutrition Support (Licence: FL ps46775) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps46775) |
Enumeration Date | 2012-02-09 |
Last Update Date | 2012-02-09 |