NPI | 1336423920 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202209517) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19250) |
Enumeration Date | 2011-10-01 |
Last Update Date | 2011-10-01 |