NPI | 1053781724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP443990) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI001729) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2022-01-26 |