NPI | 1619456381 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 64702) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03337383) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2024-04-25 |