| NPI | 1972267789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS63478) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS58346) |
| 183500000X Pharmacist (Licence: FL 58346) | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-28 |