| NPI | 1083059935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 19376) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 40828) |
| 183500000X Pharmacist (Licence: AR PD13879) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2025-03-18 |