| NPI | 1518786268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: AR PD17192) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-101737) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-12-04 |