NPI | 1326685090 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 81109) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ID P8639) |
Enumeration Date | 2019-12-02 |
Last Update Date | 2019-12-20 |