NPI | 1588641195 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS39687) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PU7027) |
183500000X Pharmacist (Licence: KY 007726) | |
183500000X Pharmacist (Licence: AL 20213) | |
Enumeration Date | 2005-12-23 |
Last Update Date | 2020-05-20 |