NPI | 1205202983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH RPH.03233538-2) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45878) |
183500000X Pharmacist (Licence: WI 13459-40) | |
Enumeration Date | 2015-08-17 |
Last Update Date | 2015-08-17 |