| NPI | 1851977128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPH6142) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 124298) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-18 |