| NPI | 1467809087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03236456) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI T130529007) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-06-20 |