NPI | 1942806013 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH26226) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 59091) |
Enumeration Date | 2020-12-04 |
Last Update Date | 2020-12-04 |