NPI | 1336398890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: ND 5105) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH RPH.03127436-1) |
Enumeration Date | 2008-09-09 |
Last Update Date | 2008-09-09 |