NPI | 1134723133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2019038201) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2019039201) |
Enumeration Date | 2020-11-30 |
Last Update Date | 2020-11-30 |