| NPI | 1851037550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 22361) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0015918) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-06-14 |