| NPI | 1912348608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD12349) |
| 183500000X Pharmacist (Licence: OK 15645) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2026-03-06 |