| NPI | 1417138447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS54708) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS41413) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2016-11-29 |