| NPI | 1841067907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH83587) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 68003) |
| 183500000X Pharmacist (Licence: MI 5302415008) | |
| 183500000X Pharmacist (Licence: AR PD16437) | |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |