NPI | 1407314636 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: ID P9380) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ID E45234) |
Enumeration Date | 2019-03-06 |
Last Update Date | 2022-09-14 |