NPI | 1902212285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 60459085) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03502200) |
183500000X Pharmacist (Licence: PA RP448543) | |
183500000X Pharmacist (Licence: MD 21067) | |
183500000X Pharmacist (Licence: DC PH100001327) | |
Enumeration Date | 2014-07-07 |
Last Update Date | 2014-07-07 |