| NPI | 1144337858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7371) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 355300-1701) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2017-03-06 |