| NPI | 1306157151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI 03831) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 23073) |
| 183500000X Pharmacist (Licence: AZ 11149) | |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2014-06-13 |