NPI | 1649623802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-100064) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2016027170) |
Enumeration Date | 2016-07-22 |
Last Update Date | 2016-08-01 |