NPI | 1700160298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 50666) |
Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100001325) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2015-12-11 |