NPI | 1376877100 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS0021792) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9522) |
Enumeration Date | 2009-09-26 |
Last Update Date | 2013-01-31 |