| NPI | 1700427143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS58953) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 27768) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |