| NPI | 1992045215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS41990) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 41990) |
| Enumeration Date | 2013-02-23 |
| Last Update Date | 2023-01-06 |