NPI | 1760891857 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24351) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 067808) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2021-07-27 |