| NPI | 1033384771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS T-09543) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 15124) |
| 183500000X Pharmacist (Licence: TX 32759) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |