NPI | 1972926384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 24514) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 39742) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2014-01-22 |