NPI | 1164025227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-108675) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2020040482) |
Enumeration Date | 2020-11-19 |
Last Update Date | 2023-11-07 |