NPI | 1639845845 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.298321) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15992-40) |
Enumeration Date | 2021-08-18 |
Last Update Date | 2021-08-18 |