NPI | 1659826527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7592) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KY 018693) |
Enumeration Date | 2016-08-22 |
Last Update Date | 2016-08-22 |