NPI | 1972966703 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 74589) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S021769) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2017-07-14 |