| NPI | 1922321785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP044836L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI000569) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2025-06-05 |