| NPI | 1932576519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP458203) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 36222) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2023-11-28 |