NPI | 1477560183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202207805) |
Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MI 5302036300) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2011-04-19 |