NPI | 1811590730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA rph033584) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03439186) |
Enumeration Date | 2020-11-21 |
Last Update Date | 2024-10-03 |