NPI | 1689981789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2010026496) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15031) |
Enumeration Date | 2010-09-10 |
Last Update Date | 2024-01-12 |