NPI | 1033738257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21818) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16013-040) |
Enumeration Date | 2020-04-09 |
Last Update Date | 2020-04-09 |