| NPI | 1902215668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS52725) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA rph-026918) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2023-11-27 |