NPI | 1134730146 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS62410) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 82538) |
Enumeration Date | 2020-08-12 |
Last Update Date | 2021-12-29 |