NPI | 1477271195 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 25037) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH241016) |
Enumeration Date | 2022-08-18 |
Last Update Date | 2024-11-17 |