NPI | 1316307812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 10051) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 10051) |
Enumeration Date | 2016-02-26 |
Last Update Date | 2016-02-26 |