| NPI | 1285155465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS53183) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL P53183) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |