| NPI | 1699378497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP444682) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 221242) |
| 183500000X Pharmacist (Licence: NE 18167) | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2024-05-14 |