NPI | 1700223153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP446667) |
Enumeration Date | 2013-05-24 |
Last Update Date | 2021-06-20 |