| NPI | 1386676286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202205757) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000183) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-10-25 |