| NPI | 1437937091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 10489) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 17853) |
| 183500000X Pharmacist (Licence: TN 45937) | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |