NPI | 1780914994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 11050) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302029259) |
Enumeration Date | 2010-01-11 |
Last Update Date | 2010-01-11 |