| NPI | 1033688114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: AR pd09528) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR Pd09528) |
| Enumeration Date | 2018-11-18 |
| Last Update Date | 2023-09-26 |