NPI | 1750892873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202216311) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0010304) |
Enumeration Date | 2017-10-16 |
Last Update Date | 2017-10-16 |