NPI | 1386974343 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S017246) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0022483) |
Enumeration Date | 2010-01-13 |
Last Update Date | 2018-12-11 |