NPI | 1477836674 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0002314) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP037046L) |
Enumeration Date | 2011-09-23 |
Last Update Date | 2011-09-23 |