NPI | 1669562534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OK 11778) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 35407) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2007-07-08 |