| NPI | 1154411098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S015960) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS39776) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-01-12 |