| NPI | 1386388098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 012998) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26029387A) |
| 183500000X Pharmacist (Licence: FL PS63799) | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |