| NPI | 1427654128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD08684) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 15619) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2023-05-16 |