NPI | 1558648170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-12503) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2006038098) |
Enumeration Date | 2011-11-10 |
Last Update Date | 2022-12-17 |