NPI | 1710352307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 44352) |
Additional Taxonomies | 183500000X Pharmacist (Licence: HI 1503) |
Enumeration Date | 2015-12-08 |
Last Update Date | 2015-12-08 |