| NPI | 1679009088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT 0007741) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0007741) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2023-12-27 |