| NPI | 1083077929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP-035839-L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 27704) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-12-28 |