| NPI | 1386059640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 14613-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 16520) |
| 183500000X Pharmacist (Licence: IL 051.035330) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |