NPI | 1447374319 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 17928) |
Additional Taxonomies | 183500000X Pharmacist (Licence: DC ph100000344) |
Enumeration Date | 2007-03-18 |
Last Update Date | 2008-11-06 |