NPI | 1891117206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S016674) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007161) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2014-01-21 |