NPI | 1083059935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AL 19376) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 40828) |
183500000X Pharmacist (Licence: AR PD13879) | |
Enumeration Date | 2013-05-06 |
Last Update Date | 2025-03-18 |