| NPI | 1144552209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 17340) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS46179) |
| Enumeration Date | 2010-01-31 |
| Last Update Date | 2014-02-21 |