| NPI | 1871379677 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-118059) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2023035470) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |