NPI | 1235760018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR72077) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 72986) |
Enumeration Date | 2020-01-30 |
Last Update Date | 2024-07-24 |