NPI | 1477089647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 29776) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NE 8250) |
183500000X Pharmacist (Licence: NV 17238) | |
Enumeration Date | 2017-05-10 |
Last Update Date | 2017-05-11 |