NPI | 1295860260 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA C16897) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: IA 16897) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2018-06-16 |