| NPI | 1184908824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH027118) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 20419) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2024-05-20 |