NPI | 1568570992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH41787) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 9572) |
Enumeration Date | 2006-08-27 |
Last Update Date | 2010-04-20 |