| NPI | 1508227505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH028050) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E13238) |
| 183500000X Pharmacist (Licence: FL PS51142) | |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2022-12-23 |