NPI | 1275260754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 89856) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ID P10187) |
Enumeration Date | 2022-08-04 |
Last Update Date | 2024-08-23 |