NPI | 1427278704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 38812) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH019172) |
Enumeration Date | 2007-04-27 |
Last Update Date | 2007-07-08 |