NPI | 1376950998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MT 4027) |
Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: MT 4027) |
Enumeration Date | 2014-07-15 |
Last Update Date | 2014-07-15 |