| NPI | 1588641195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS39687) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PU7027) |
| 183500000X Pharmacist (Licence: KY 007726) | |
| 183500000X Pharmacist (Licence: AL 20213) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2020-05-20 |