NPI | 1780048470 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps0029119) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 042729) |
Enumeration Date | 2016-04-08 |
Last Update Date | 2016-04-08 |