| NPI | 1376670299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS42152) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 22051) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-10-24 |