NPI | 1184969727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: ME pr12570) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH236183) |
Enumeration Date | 2012-12-08 |
Last Update Date | 2016-02-16 |