NPI | 1386014371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: ID P9968) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA 60473037) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2022-05-19 |