| NPI | 1215338108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 38395) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH027841) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2023-08-14 |