NPI | 1629454566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: ID P5329) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OR 7117) |
183500000X Pharmacist (Licence: CA 38474) | |
183500000X Pharmacist (Licence: AZ 8715) | |
Enumeration Date | 2015-08-03 |
Last Update Date | 2015-08-03 |