NPI | 1336745579 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH100000995) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 20615) |
Enumeration Date | 2020-12-10 |
Last Update Date | 2020-12-10 |