| NPI | 1114233137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202212515) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV rp0008219) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2024-11-18 |