| NPI | 1174121727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00009329) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 20696) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |