NPI | 1407458086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD12132) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2012025414) |
Enumeration Date | 2020-11-10 |
Last Update Date | 2020-11-10 |