| NPI | 1295042786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA rp028280l) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rpo28280l) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |