NPI | 1700262912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY I064136) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S021415) |
Enumeration Date | 2015-08-11 |
Last Update Date | 2021-02-02 |