| NPI | 1942057146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 0330135191) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 01885) |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2024-05-04 |