| NPI | 1750916227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS53836) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PU8557) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |