NPI | 1215171970 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP438941) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03328825) |
Enumeration Date | 2009-04-26 |
Last Update Date | 2009-04-26 |