NPI | 1982358404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps36796) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ ri24339) |
Enumeration Date | 2022-02-04 |
Last Update Date | 2022-02-04 |