NPI | 1174090666 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 75813) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 75813) |
Enumeration Date | 2018-11-01 |
Last Update Date | 2022-03-18 |