| NPI | 1144054891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 48442) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 024583) |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |