NPI | 1023399466 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 23483) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AR AR07862) |
Enumeration Date | 2011-08-30 |
Last Update Date | 2011-08-30 |