NPI | 1457957490 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 26296) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202217489) |
Enumeration Date | 2020-12-06 |
Last Update Date | 2021-10-07 |