NPI | 1255040945 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 88035) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 069855) |
Enumeration Date | 2022-11-21 |
Last Update Date | 2024-02-12 |