NPI | 1730694621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7861) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0017771) |
Enumeration Date | 2017-12-13 |
Last Update Date | 2022-12-20 |