NPI | 1710271978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2009021418) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-16570) |
Enumeration Date | 2011-06-06 |
Last Update Date | 2020-12-03 |