NPI | 1760979561 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA 021789) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 12113) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2022-12-22 |