| NPI | 1033415559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 0003156) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH21516) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |