NPI | 1871897231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03225227) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP441783) |
Enumeration Date | 2010-12-28 |
Last Update Date | 2024-05-14 |