NPI | 1881970978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OK 11220) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 9832) |
183500000X Pharmacist (Licence: AR pd08949) | |
183500000X Pharmacist (Licence: MO 2000150090) | |
Enumeration Date | 2011-11-02 |
Last Update Date | 2011-11-02 |