NPI | 1265965057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AL 17252) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS50215) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2017-04-07 |