| NPI | 1962014944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 42879) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL T42855) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |