| NPI | 1316300288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 21237) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS T100454) |
| 183500000X Pharmacist (Licence: LA PST.023383) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2024-08-06 |