NPI | 1942083399 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 66939) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH033657) |
183500000X Pharmacist (Licence: NY 067916) | |
Enumeration Date | 2023-08-17 |
Last Update Date | 2023-08-17 |