NPI | 1730851627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP452408) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 26240) |
Enumeration Date | 2021-09-29 |
Last Update Date | 2021-09-29 |