| NPI | 1407291966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS56297) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 19448) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2019-10-15 |