| NPI | 1992300321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 9259) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202212060) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |