| NPI | 1831927169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S027130) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ I025208) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-08-13 |