NPI | 1366819245 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23116) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH234198) |
Enumeration Date | 2015-08-27 |
Last Update Date | 2015-08-27 |