NPI | 1962287706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WY 4484) |
Additional Taxonomies | 183500000X Pharmacist (Licence: UT 11338036-1701) |
Enumeration Date | 2023-08-29 |
Last Update Date | 2023-08-29 |