NPI | 1124622378 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 8393189-1701) |
Additional Taxonomies | 183500000X Pharmacist (Licence: UT 8393189-8911) |
Enumeration Date | 2020-11-29 |
Last Update Date | 2020-11-29 |