NPI | 1649532532 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP439835) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02992600) |
183500000X Pharmacist (Licence: DE A1-0003492) | |
Enumeration Date | 2012-06-15 |
Last Update Date | 2020-07-22 |