NPI | 1396287157 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 73177) |
Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: CA 73177) |
Enumeration Date | 2016-11-10 |
Last Update Date | 2016-11-10 |