| NPI | 1346952462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS T08524) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS T-08524) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |