NPI | 1528306107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS48911) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 16624) |
183500000X Pharmacist (Licence: OH RPH.03135335-1) | |
Enumeration Date | 2013-01-16 |
Last Update Date | 2017-01-09 |