NPI | 1356998140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: SD 54643) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 54643) |
183500000X Pharmacist (Licence: FL PS39161) | |
Enumeration Date | 2019-08-26 |
Last Update Date | 2019-08-26 |