NPI | 1588997282 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 62228) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302033296) |
Enumeration Date | 2009-09-12 |
Last Update Date | 2023-07-11 |