NPI | 1679192413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MN 125399) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0022764) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO PHA.0022764) | |
Enumeration Date | 2020-04-12 |
Last Update Date | 2021-09-21 |