NPI | 1639683816 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 37222) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 27422) |
Enumeration Date | 2017-11-26 |
Last Update Date | 2017-11-26 |