NPI | 1750426359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps27220) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA rph016958) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-07-08 |