| NPI | 1427722701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS61916) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 68498) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |