| NPI | 1942922075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS61824) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH024597) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |