NPI | 1134722432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 41166) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2002022641) |
183500000X Pharmacist (Licence: KS 1-13559) | |
183500000X Pharmacist (Licence: LA PST.019717) | |
Enumeration Date | 2020-11-18 |
Last Update Date | 2020-11-18 |