NPI | 1437530276 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S021336) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ I010243) |
Enumeration Date | 2015-06-17 |
Last Update Date | 2015-08-31 |