| NPI | 1417268541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 016831) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: GA 016831) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2014-11-24 |