| NPI | 1114009305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA GA 13804) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 13804) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-01-06 |