| NPI | 1114793437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD14918) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 16717) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |