NPI | 1548352891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 06042) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 06042) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-07-08 |