| NPI | 1245508928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS15069) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 7837) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |