NPI | 1477102192 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps62872) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL PSI38313) |
Enumeration Date | 2019-09-05 |
Last Update Date | 2021-08-09 |