NPI | 1922603612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 63736) |
Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: TX 63736) |
Enumeration Date | 2020-12-01 |
Last Update Date | 2020-12-01 |