| NPI | 1831766021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP456037) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA PI121185) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-08-30 |