NPI | 1881808723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS44350) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AL 15475) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2016-05-09 |