| NPI | 1093131492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS49142) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 026912) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |