NPI | 1053717215 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0008208) |
Enumeration Date | 2014-11-14 |
Last Update Date | 2024-08-01 |