| NPI | 1669076386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH031670) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS60760) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |