| NPI | 1063235745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0009205) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH2091) |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |