| NPI | 1518518141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP437538) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH031285) |
| 183500000X Pharmacist (Licence: LA PST.017311) | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |