NPI | 1538443064 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000033847) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA ph26843) |
Enumeration Date | 2011-10-03 |
Last Update Date | 2011-10-03 |