NPI | 1245249465 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS45516) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI01779500) |
183500000X Pharmacist (Licence: PA RP042215R) | |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-08-18 |