NPI | 1740080753 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OK 20801) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 75091) |
Enumeration Date | 2025-03-18 |
Last Update Date | 2025-03-18 |