NPI | 1609224831 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH233862) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 54860) |
Enumeration Date | 2016-05-27 |
Last Update Date | 2016-05-27 |