NPI | 1962986810 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 70668) |
Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: TX 70668) |
Enumeration Date | 2018-09-17 |
Last Update Date | 2024-01-18 |