NPI | 1699051201 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 5412596-1701) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60247604) |
Enumeration Date | 2011-10-26 |
Last Update Date | 2011-10-26 |