NPI | 1477892040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA rp447477) |
Additional Taxonomies | 183500000X Pharmacist (Licence: RI rph05186) |
Enumeration Date | 2013-02-02 |
Last Update Date | 2013-02-02 |