NPI | 1922553858 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302036335) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MI 5302036335) |
Enumeration Date | 2016-08-21 |
Last Update Date | 2016-08-21 |