NPI | 1508159963 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S020498) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp440634) |
Enumeration Date | 2011-05-18 |
Last Update Date | 2014-08-05 |