NPI | 1366818080 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47646) |
Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH3314) |
183500000X Pharmacist (Licence: PA RP044100L) | |
183500000X Pharmacist (Licence: VA 0202208360) | |
Enumeration Date | 2015-08-17 |
Last Update Date | 2015-08-17 |