| NPI | 1154433738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000004407) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS11435) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-04-27 |