NPI | 1386918340 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA 021078) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL 35167) |
Enumeration Date | 2012-03-07 |
Last Update Date | 2012-03-07 |