NPI | 1033101787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: PR 4586) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: PR 4586) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2008-12-10 |