| NPI | 1376872291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS43669) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 47085) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2013-01-17 |