| NPI | 1902812183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 47148) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS31948) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-09-25 |