NPI | 1417559832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20026) |
Additional Taxonomies | 333600000X Pharmacy (Licence: MD 20026) |
Enumeration Date | 2020-11-10 |
Last Update Date | 2020-11-10 |