NPI | 1700026895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP442067) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18798) |
Enumeration Date | 2009-03-02 |
Last Update Date | 2009-03-02 |