| NPI | 1598591091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPh5682) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 121881) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |