NPI | 1194032078 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS40883) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 055255) |
183500000X Pharmacist (Licence: NJ 28RI03276200) | |
183500000X Pharmacist (Licence: MI 5302035863) | |
Enumeration Date | 2010-09-13 |
Last Update Date | 2024-05-17 |