| NPI | 1285928465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 21744) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TN 21744) |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2023-11-15 |