| NPI | 1821715384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME 71238) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PIC71238) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |