| NPI | 1861366890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPh6684) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 49021) |
| 183500000X Pharmacist (Licence: MN 127121) | |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |