| NPI | 1053910992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD15325) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 44228) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |