| NPI | 1043822364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD15727) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH032180) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-02-27 |