NPI | 1144698044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 35822) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA 028193) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2015-09-09 |