| NPI | 1184231813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00009362) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD15129) |
| 183500000X Pharmacist (Licence: MO 2019042076) | |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-27 |