| NPI | 1497534606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 17452) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 24353) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |