NPI | 1780196873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AL 20116) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA 017288) |
Enumeration Date | 2017-10-29 |
Last Update Date | 2017-10-29 |