| NPI | 1043526411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS50243) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 17220) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2016-02-05 |