| NPI | 1518472968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH015299) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-39893) |
| 183500000X Pharmacist (Licence: OR RPH-0013994) | |
| 183500000X Pharmacist (Licence: FL PS53244) | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |