| NPI | 1861731770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0012363) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS49225) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2022-11-29 |