| NPI | 1013134634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH04618) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0010702) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-05-06 |