| NPI | 1154174639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00010096) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 73796) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |