NPI | 1295318723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2021012909) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2021010909) |
Enumeration Date | 2021-05-03 |
Last Update Date | 2021-05-03 |