NPI | 1841242740 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 30389) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 8246-040) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2008-03-14 |