| NPI | 1285620997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS37518) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD09521) |
| 183500000X Pharmacist (Licence: KY 013243) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2013-02-26 |