NPI | 1891171864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 22917) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp042587l) |
Enumeration Date | 2015-07-31 |
Last Update Date | 2015-07-31 |