| NPI | 1235539131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RPI008700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP448806) |
| 183500000X Pharmacist (Licence: FL PS52488) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |