| NPI | 1649244153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 36725) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0036725) |
| 183500000X Pharmacist (Licence: KY 016194) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2022-12-20 |