NPI | 1407382740 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 23531) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 22631) |
Enumeration Date | 2017-05-05 |
Last Update Date | 2017-05-05 |