NPI | 1013270529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20442) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202210992) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2012-06-19 |