NPI | 1619127982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202207340) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 18106) |
Enumeration Date | 2008-09-23 |
Last Update Date | 2012-05-21 |