NPI | 1184480717 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR72466) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NH PHCY-01671) |
Enumeration Date | 2024-02-21 |
Last Update Date | 2025-08-12 |