NPI | 1306213590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0014830) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ID P7926) |
Enumeration Date | 2015-08-24 |
Last Update Date | 2022-04-19 |