| NPI | 1033723804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 29475) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2018033919) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-17 |