NPI | 1417542408 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: IN 26017975A) |
Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: OH 03334312) |
1835G0303X Pharmacist Geriatric (Licence: MI 5302043041) | |
Enumeration Date | 2021-03-02 |
Last Update Date | 2021-03-02 |