NPI | 1255751798 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TX 25069) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 44229) |
Enumeration Date | 2014-04-23 |
Last Update Date | 2024-02-08 |