NPI | 1780468066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 25009) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202216606) |
183500000X Pharmacist (Licence: GA RPH026566) | |
Enumeration Date | 2023-08-21 |
Last Update Date | 2023-08-21 |