| NPI | 1497263875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 40855) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS46673) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |