| NPI | 1023836434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835I0206X Pharmacist, Infectious Diseases (Licence: AL 17658) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 17658) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |