| NPI | 1942873872 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-88449) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND RPh6318) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-01-18 |