NPI | 1659782860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-10898) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 29164) |
Enumeration Date | 2014-05-12 |
Last Update Date | 2014-05-12 |