NPI | 1942689906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0006376) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH16879) |
183500000X Pharmacist (Licence: FL PS 52807) | |
Enumeration Date | 2015-05-23 |
Last Update Date | 2015-05-23 |