| NPI | 1033768668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 26787) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202218095) |
| 183500000X Pharmacist (Licence: DC phi00003783) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-19 |