NPI | 1578111258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OK 18817) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2019033379) |
Enumeration Date | 2019-08-27 |
Last Update Date | 2021-11-18 |