NPI | 1811657489 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 041757) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OK 11562) |
Enumeration Date | 2021-12-23 |
Last Update Date | 2021-12-31 |