NPI | 1780446195 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 88110) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ID PI0863) |
Enumeration Date | 2024-01-30 |
Last Update Date | 2024-01-30 |