NPI | 1033688114 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: AR pd09528) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AR Pd09528) |
Enumeration Date | 2018-11-18 |
Last Update Date | 2023-09-26 |