NPI | 1255643003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH rph.03129465) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP443980) |
Enumeration Date | 2010-07-09 |
Last Update Date | 2010-07-09 |