NPI | 1588176689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302041971) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 64317) |
Enumeration Date | 2017-10-30 |
Last Update Date | 2020-11-11 |