| NPI | 1346530615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0011654) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS63652) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2023-01-08 |