| NPI | 1578168522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 39403) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2021014019) |
| 183500000X Pharmacist (Licence: AL 21341) | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2024-09-25 |