| NPI | 1194136796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S 014810) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP 032549L) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |