NPI | 1730457847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-010338) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AL 15947) |
Enumeration Date | 2011-12-02 |
Last Update Date | 2022-01-28 |