| NPI | 1134441090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3418) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA Ph26871) |
| 183500000X Pharmacist (Licence: ME PR5477) | |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |