NPI | 1487040374 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP038969L) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS45795) |
Enumeration Date | 2015-04-08 |
Last Update Date | 2015-04-08 |