NPI | 1700060126 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 55008) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 048044) |
Enumeration Date | 2007-12-20 |
Last Update Date | 2023-01-28 |