NPI | 1164917571 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 16188) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NE 8521) |
Enumeration Date | 2018-06-27 |
Last Update Date | 2018-08-23 |