NPI | 1447860473 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 25092) |
Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: MD 99108187) |
Enumeration Date | 2020-08-04 |
Last Update Date | 2020-08-04 |