| NPI | 1568270825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP458428) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P10885) |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |