| NPI | 1003181033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS42494) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PS42494) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2023-10-03 |