NPI | 1700011830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NH R1847) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL 18246) |
Enumeration Date | 2009-05-19 |
Last Update Date | 2009-05-19 |