NPI | 1639876139 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS50431) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MN 122628) |
183500000X Pharmacist (Licence: UT 9027449-1701) | |
Enumeration Date | 2023-02-14 |
Last Update Date | 2023-02-14 |