| NPI | 1588381883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 28802) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH200004573) |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-11-22 |