| NPI | 1043206725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: FL PS 38780) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 38780) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2007-07-08 |