NPI | 1104426808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 031226020) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302034111) |
183500000X Pharmacist (Licence: NV 16450) | |
183500000X Pharmacist (Licence: TX 52833) | |
183500000X Pharmacist (Licence: OR 13455) | |
Enumeration Date | 2020-10-30 |
Last Update Date | 2020-10-30 |