| NPI | 1144672163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 028316) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S008739) |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2016-07-02 |