NPI | 1144418203 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 23979) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302035456) |
Enumeration Date | 2007-10-13 |
Last Update Date | 2019-01-30 |