NPI | 1164810263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH2176) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 07724) |
183500000X Pharmacist (Licence: VA 0202009554) | |
Enumeration Date | 2014-12-26 |
Last Update Date | 2014-12-26 |