NPI | 1962849182 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CO 12007) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 39442) |
Enumeration Date | 2013-05-29 |
Last Update Date | 2013-05-29 |