NPI | 1831766021 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP456037) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA PI121185) |
Enumeration Date | 2021-06-07 |
Last Update Date | 2023-08-30 |