NPI | 1124615422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH032628) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS61841) |
Enumeration Date | 2020-12-22 |
Last Update Date | 2020-12-22 |