| NPI | 1821078452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 35165) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS35165) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2023-04-17 |