| NPI | 1477236362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM rp00005104) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM 00005104) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |