NPI | 1699021188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: TN 36874) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 36874) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2018-10-01 |