NPI | 1215308333 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302041437) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL 51568) |
Enumeration Date | 2015-10-15 |
Last Update Date | 2015-10-15 |