| NPI | 1215230131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP043918L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI003659) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2024-07-01 |