NPI | 1922608371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45055) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS27256) |
183500000X Pharmacist (Licence: MA PH20465) | |
Enumeration Date | 2020-10-27 |
Last Update Date | 2020-10-27 |