NPI | 1700956315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WI 11242-040) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MN 112822) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2007-07-08 |