NPI | 1245500669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA18689) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS33491) |
Enumeration Date | 2012-01-02 |
Last Update Date | 2012-01-02 |