NPI | 1225792989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S025534) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ S025534) |
Enumeration Date | 2021-10-28 |
Last Update Date | 2021-10-28 |