NPI | 1639779812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OK 10249) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 35429) |
183500000X Pharmacist (Licence: NV 7951) | |
Enumeration Date | 2020-10-28 |
Last Update Date | 2020-10-28 |