NPI | 1033994538 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: PR 8311) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 2882) |
Enumeration Date | 2023-08-31 |
Last Update Date | 2025-02-12 |