NPI | 1922607787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WI 12308) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 12038) |
Enumeration Date | 2020-10-22 |
Last Update Date | 2020-10-22 |