| NPI | 1346648524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS46244) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH27529) |
| Enumeration Date | 2014-12-20 |
| Last Update Date | 2014-12-20 |