NPI | 1144621939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S019494) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA0019542) |
Enumeration Date | 2014-09-11 |
Last Update Date | 2014-09-11 |