NPI | 1114010527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA rph38785) |
Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY468660) |
Enumeration Date | 2006-09-30 |
Last Update Date | 2007-12-17 |