| NPI | 1093533481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202219757) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 89976) |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-02 |