NPI | 1245840065 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: ID P9001) |
Additional Taxonomies | 183500000X Pharmacist (Licence: UT 7788409-1701) |
Enumeration Date | 2020-08-06 |
Last Update Date | 2022-01-08 |