NPI | 1275275570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA 61324948) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2021033961) |
Enumeration Date | 2022-04-08 |
Last Update Date | 2024-07-30 |