| NPI | 1437884814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ZZ 3292) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH240893) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-21 |