| NPI | 1164753125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS59986) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S017247) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2023-05-30 |