| NPI | 1144749409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 19488) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS49218) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |