NPI | 1982088985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NH 4046) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0115199) |
183500000X Pharmacist (Licence: NC 26591) | |
Enumeration Date | 2015-07-20 |
Last Update Date | 2019-10-07 |