| NPI | 1306091756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 33495) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 13274) |
| Enumeration Date | 2008-11-27 |
| Last Update Date | 2009-02-12 |