| NPI | 1033413349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202210249) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21363) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2012-03-13 |