NPI | 1962796235 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: RI rph04901) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0010763) |
Enumeration Date | 2011-06-04 |
Last Update Date | 2011-06-04 |