NPI | 1871069310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MN 125332) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 79678) |
Enumeration Date | 2018-10-23 |
Last Update Date | 2022-09-12 |