| NPI | 1336403732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS48030) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22143) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2013-02-25 |