NPI | 1790273175 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA 030089) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03331404) |
Enumeration Date | 2018-05-01 |
Last Update Date | 2018-05-01 |