NPI | 1033527742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: PR 006253) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps38002) |
Enumeration Date | 2014-07-25 |
Last Update Date | 2014-07-25 |