NPI | 1407226566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 14031) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA 025716) |
Enumeration Date | 2015-10-01 |
Last Update Date | 2015-10-01 |