| NPI | 1235441031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH034213) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA Rp038211L) |
| 183500000X Pharmacist (Licence: NJ 28ri03118400) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2023-08-31 |