| NPI | 1235461476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007005) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208117) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |