NPI | 1942396619 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-09136) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 028397) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-07-08 |