NPI | 1093366098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007908) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KY 018456) |
Enumeration Date | 2019-09-23 |
Last Update Date | 2019-09-23 |