| NPI | 1255618419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 14686) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS25167) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |