NPI | 1629526736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 5543677-1701) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3876) |
Enumeration Date | 2016-09-18 |
Last Update Date | 2016-09-18 |