NPI | 1457056061 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47012) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 19627) |
Enumeration Date | 2023-04-03 |
Last Update Date | 2023-04-03 |