NPI | 1649585795 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ s015592) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp441048) |
Enumeration Date | 2010-08-13 |
Last Update Date | 2016-06-14 |