NPI | 1972628204 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: LA 14513) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MS t-8525) |
183500000X Pharmacist (Licence: AL 14907) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2008-06-01 |