NPI | 1922483114 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WI 18931) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP449769) |
Enumeration Date | 2015-07-29 |
Last Update Date | 2022-07-21 |