NPI | 1164975298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65239) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 12508) |
183500000X Pharmacist (Licence: AZ S013144) | |
Enumeration Date | 2016-07-25 |
Last Update Date | 2016-07-25 |