NPI | 1972827962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 11705) |
Enumeration Date | 2010-03-18 |
Last Update Date | 2024-06-13 |