NPI | 1437479706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MS 010643) |
Additional Taxonomies | 183500000X Pharmacist (Licence: LA 16425) |
Enumeration Date | 2010-06-09 |
Last Update Date | 2010-06-09 |