NPI | 1184304347 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: ID P10652) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH238571) |
183500000X Pharmacist (Licence: WA PH61526496) | |
Enumeration Date | 2023-07-24 |
Last Update Date | 2024-05-30 |