NPI | 1891391058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0005267) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WV 20520130) |
Enumeration Date | 2020-12-11 |
Last Update Date | 2020-12-11 |