| NPI | 1730949314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP456064) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00009180) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |