| NPI | 1881102150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS58031) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH PHCY-04341) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-06-04 |