| NPI | 1336312164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME pr5497) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0010796) |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2010-03-22 |