| NPI | 1801296942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC ph35773) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 35773) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2020-12-04 |