NPI | 1730403957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH25576) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 15755) |
Enumeration Date | 2010-03-17 |
Last Update Date | 2010-03-17 |