NPI | 1396022661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 13655) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21473) |
Enumeration Date | 2011-11-14 |
Last Update Date | 2011-11-14 |