| NPI | 1598440281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 126052) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2022029738) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2024-07-16 |