NPI | 1477398568 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 32548) |
Additional Taxonomies | 183500000X Pharmacist (Licence: SC 43814) |
Enumeration Date | 2024-06-28 |
Last Update Date | 2024-06-28 |