| NPI | 1093495202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 47051) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202221382) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |