NPI | 1467057695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0012286) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03440358) |
Enumeration Date | 2020-12-04 |
Last Update Date | 2020-12-04 |