NPI | 1982724159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-3-21733) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 11786) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2007-07-08 |