NPI | 1003027665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302026084) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-2-09074) |
183500000X Pharmacist (Licence: AZ 9578) | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2024-08-26 |