NPI | 1922329002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 32578) |
Additional Taxonomies | 183500000X Pharmacist (Licence: UT 144509-1701) |
Enumeration Date | 2010-06-12 |
Last Update Date | 2010-06-12 |