NPI | 1942664974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA rp033586l) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WV rp0008819) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2016-04-06 |