NPI | 1003658063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19522) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202210252) |
Enumeration Date | 2024-06-11 |
Last Update Date | 2024-06-11 |