NPI | 1689032435 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS56050) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AL 17195) |
183500000X Pharmacist (Licence: LA PST.021450) | |
Enumeration Date | 2016-02-08 |
Last Update Date | 2021-09-20 |