NPI | 1831596212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24405) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS47084) |
Enumeration Date | 2014-12-01 |
Last Update Date | 2014-12-01 |