NPI | 1295102671 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: LA 020957) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 54391) |
Enumeration Date | 2015-09-01 |
Last Update Date | 2023-01-09 |