NPI | 1770184194 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 152961-1701) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ID P5057) |
Enumeration Date | 2020-11-03 |
Last Update Date | 2020-11-03 |