NPI | 1780382077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60696943) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03127557) |
Enumeration Date | 2023-02-16 |
Last Update Date | 2023-02-16 |