NPI | 1306479522 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP447363) |
Additional Taxonomies | 183500000X Pharmacist (Licence: SC 10834) |
183500000X Pharmacist (Licence: NC 17166) | |
Enumeration Date | 2020-02-17 |
Last Update Date | 2020-02-17 |