| NPI | 1144841248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 14605) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.14605) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |