NPI | 1972138246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 10156) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 46038) |
Enumeration Date | 2020-03-07 |
Last Update Date | 2020-03-07 |