NPI | 1568967982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 37080) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 27110) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2018-03-27 |