NPI | 1437660529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 37468) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 8438) |
Enumeration Date | 2017-10-17 |
Last Update Date | 2017-11-05 |