NPI | 1497104038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0021631) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 69269) |
Enumeration Date | 2016-06-04 |
Last Update Date | 2024-06-03 |