| NPI | 1437824182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 6792) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS61566) |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2021-08-14 |