| NPI | 1366609810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302033113) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302045263) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-06-18 |