| NPI | 1578997490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH027034) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS P13054) |
| 183500000X Pharmacist (Licence: FL PS49619) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2016-06-08 |