NPI | 1588084305 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: RI 04570) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA 27416) |
183500000X Pharmacist (Licence: FL 48451) | |
183500000X Pharmacist (Licence: AZ S018790) | |
Enumeration Date | 2014-04-19 |
Last Update Date | 2014-04-19 |