NPI | 1851976617 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3316) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP040095L) |
183500000X Pharmacist (Licence: FL PS29422) | |
183500000X Pharmacist (Licence: CO 14551) | |
183500000X Pharmacist (Licence: AZ S016833) | |
Enumeration Date | 2021-03-13 |
Last Update Date | 2021-03-13 |