NPI | 1962137547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302413087) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP455526) |
Enumeration Date | 2022-07-19 |
Last Update Date | 2022-07-19 |