NPI | 1679019574 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 72578) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA ph235537) |
Enumeration Date | 2017-01-16 |
Last Update Date | 2017-01-16 |