| NPI | 1407379357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR69356) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S024554) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-09-20 |