NPI | 1023667771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-63309) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ID p8444) |
Enumeration Date | 2019-09-05 |
Last Update Date | 2019-09-05 |