| NPI | 1962328351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPh6120) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 124224) |
| Enumeration Date | 2026-06-29 |
| Last Update Date | 2026-06-29 |