| NPI | 1396714549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS37719) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PS37719) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-07-01 |