NPI | 1982931051 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 38590) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 0038590) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2023-01-24 |