NPI | 1497188403 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 53631) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23677) |
Enumeration Date | 2013-08-13 |
Last Update Date | 2013-08-13 |