| NPI | 1023187101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS0015494) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PU0002781) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2017-03-06 |