| NPI | 1043760580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS55658) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS556581) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2023-01-09 |