NPI | 1548569932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS48872) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: VA 0202011373) |
Enumeration Date | 2011-03-24 |
Last Update Date | 2012-09-10 |