NPI | 1356764989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 64232) |
Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: IN AU) |
Enumeration Date | 2014-02-03 |
Last Update Date | 2014-04-01 |