NPI | 1497108625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 15937) |
Additional Taxonomies | 183500000X Pharmacist (Licence: SC 12325) |
Enumeration Date | 2016-07-23 |
Last Update Date | 2016-07-23 |