NPI | 1649690850 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AL 12602) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IA 15569) |
Enumeration Date | 2014-04-27 |
Last Update Date | 2014-04-27 |