| NPI | 1568879757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 46425) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 17837) |
| 183500000X Pharmacist (Licence: FL PS57349) | |
| 183500000X Pharmacist (Licence: WV RP0012831) | |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2022-07-27 |