NPI | 1093003972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-14903) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000041091) |
Enumeration Date | 2011-07-13 |
Last Update Date | 2019-05-23 |