| NPI | 1003539818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 20374-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26028766A) |
| 183500000X Pharmacist (Licence: IL 051.304189) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |