| NPI | 1326323684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 530203300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1533) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |