| NPI | 1487393476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH031090) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 43058) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-05-31 |