| NPI | 1750275665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: FL PS34898) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS34898) |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |