NPI | 1922519891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-100254) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2017013502) |
Enumeration Date | 2017-10-18 |
Last Update Date | 2017-10-18 |