| NPI | 1437158250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 41623) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 13919) |
| 183500000X Pharmacist (Licence: KY 022092) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2024-12-20 |