| NPI | 1346984341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302039038) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15332-40) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |