NPI | 1295064459 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 13487) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45361) |
Enumeration Date | 2009-12-17 |
Last Update Date | 2013-03-19 |