NPI | 1942636949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH37008) |
Additional Taxonomies | 183500000X Pharmacist (Licence: UT 1461931701) |
Enumeration Date | 2013-09-23 |
Last Update Date | 2013-09-23 |