NPI | 1518356500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24049) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps22954) |
Enumeration Date | 2015-01-14 |
Last Update Date | 2015-01-14 |