NPI | 1841734894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0020259) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18094) |
183500000X Pharmacist (Licence: TX 50982) | |
Enumeration Date | 2016-12-10 |
Last Update Date | 2016-12-10 |