| NPI | 1336424118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI 04856) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 232948) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |