| NPI | 1306004528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7024) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH0009584) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2022-12-19 |