NPI | 1932879095 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH238485) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH82592) |
1835G0303X Pharmacist, Geriatric (Licence: MA 99108572) | |
Enumeration Date | 2021-09-20 |
Last Update Date | 2021-09-20 |