NPI | 1124729074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0004096) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP043158L) |
Enumeration Date | 2023-03-16 |
Last Update Date | 2023-03-16 |