| NPI | 1710605605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR71595) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 33624) |
| 183500000X Pharmacist (Licence: TN 45868) | |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2024-02-27 |