NPI | 1033768668 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 26787) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202218095) |
183500000X Pharmacist (Licence: DC phi00003783) | |
Enumeration Date | 2019-09-06 |
Last Update Date | 2019-09-19 |