NPI | 1073898300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0001845) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP029092L) |
Enumeration Date | 2011-10-18 |
Last Update Date | 2011-10-18 |