NPI | 1609993815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH 35059) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 8592-040) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2007-07-08 |