NPI | 1659388007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00006206) |
Additional Taxonomies | 174400000X Specialist (Licence: NM PC-00000101) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2018-03-17 |