NPI | 1255794822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 13748) |
Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13366) |
183500000X Pharmacist (Licence: NV 18489) | |
183500000X Pharmacist (Licence: MN 121145) | |
183500000X Pharmacist (Licence: KS 1-15582) | |
183500000X Pharmacist (Licence: CO 20182) | |
Enumeration Date | 2016-03-31 |
Last Update Date | 2016-03-31 |