| NPI | 1326223603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH020595) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 14949) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |