NPI | 1700557311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GU ph0215) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ME pr4653) |
Enumeration Date | 2021-09-23 |
Last Update Date | 2021-09-23 |