NPI | 1497380844 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0017352) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61027735) |
183500000X Pharmacist (Licence: OH 03438887) | |
Enumeration Date | 2020-03-05 |
Last Update Date | 2020-03-05 |