NPI | 1538582804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 70628) |
Additional Taxonomies | 183500000X Pharmacist (Licence: HI ph3518) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2021-12-17 |