NPI | 1811339229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.01196655) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0119665) |
Enumeration Date | 2013-07-26 |
Last Update Date | 2018-04-25 |