NPI | 1427158419 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302035496) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS41158) |
1835C0207X (Licence: DE A1-0004125) | |
Enumeration Date | 2006-09-22 |
Last Update Date | 2024-08-07 |