NPI | 1497489421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-110623) |
Additional Taxonomies | 333600000X Pharmacy (Licence: NE 16226) |
Enumeration Date | 2022-07-14 |
Last Update Date | 2022-07-25 |