NPI | 1245836162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 68446) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH237049) |
Enumeration Date | 2020-12-07 |
Last Update Date | 2023-08-03 |