NPI | 1144624867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24047) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP441035) |
183500000X Pharmacist (Licence: PA RPI003839) | |
Enumeration Date | 2014-10-09 |
Last Update Date | 2014-10-09 |