| NPI | 1831913854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC PH37490) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH236580) |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |