| NPI | 1104049964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03223479) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 044015) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |