NPI | 1154003770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH200004219) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202220973) |
Enumeration Date | 2023-08-03 |
Last Update Date | 2023-08-03 |