NPI | 1083210645 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS60638) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03439096) |
Enumeration Date | 2020-12-09 |
Last Update Date | 2023-03-02 |