NPI | 1528100633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 028128) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-29918) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2007-07-08 |