NPI | 1902384050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 16120) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0022232) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2018-08-01 |