| NPI | 1043394661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH013515) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 18377) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |