NPI | 1467176149 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2017020839) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-100576) |
Enumeration Date | 2022-09-27 |
Last Update Date | 2022-09-27 |