| NPI | 1477271195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 25037) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH241016) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2024-11-17 |