NPI | 1326455254 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5032305076) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 21657) |
Enumeration Date | 2014-07-11 |
Last Update Date | 2014-07-11 |