| NPI | 1265871685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR6027) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2011015231) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |