| NPI | 1245833342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPh04698) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP038772L) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |