NPI | 1104523778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 16903) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NE 11221) |
Enumeration Date | 2023-02-14 |
Last Update Date | 2023-02-14 |