NPI | 1366837072 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AL 19344) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL S10807) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2022-07-21 |