NPI | 1639420680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202011309) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 12767) |
Enumeration Date | 2012-09-29 |
Last Update Date | 2013-03-27 |