NPI | 1124627401 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-71393) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ID P8966) |
Enumeration Date | 2020-10-19 |
Last Update Date | 2023-01-27 |