| NPI | 1073234548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS63298) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302413703) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2022-09-05 |