NPI | 1922131192 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KY 012095) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-2-17917) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2007-07-08 |