| NPI | 1750118188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC PH60380) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH035295) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-12-23 |