| NPI | 1760811657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3926) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0107905) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2023-07-06 |