NPI | 1306289756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-09916) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 028862) |
Enumeration Date | 2013-04-15 |
Last Update Date | 2013-04-15 |