NPI | 1760720460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 16999) |
Additional Taxonomies | 183500000X Pharmacist (Licence: SD 5682) |
Enumeration Date | 2013-01-30 |
Last Update Date | 2024-05-22 |