| NPI | 1801262233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS51483) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 17671) |
| 183500000X Pharmacist (Licence: PA RP447912) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |