NPI | 1821401878 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12200) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23877) |
Enumeration Date | 2014-06-07 |
Last Update Date | 2014-06-07 |