NPI | 1669144192 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 5556493-1701) |
Additional Taxonomies | 183500000X Pharmacist (Licence: UT 5556493-8911) |
Enumeration Date | 2021-10-04 |
Last Update Date | 2021-10-04 |