NPI | 1588030381 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH029782) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 25019) |
Enumeration Date | 2015-08-15 |
Last Update Date | 2019-09-17 |