NPI | 1619063211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302034138) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS41627) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-07-08 |