| NPI | 1285806430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2006024035) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 13585) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |