NPI | 1003491275 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NV NV13567) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 13567) |
Enumeration Date | 2021-03-10 |
Last Update Date | 2021-03-10 |