NPI | 1912682154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65136) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17673) |
Enumeration Date | 2023-06-15 |
Last Update Date | 2023-06-15 |