NPI | 1265879662 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MN 117943) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 42135) |
Enumeration Date | 2013-05-27 |
Last Update Date | 2023-08-03 |