| NPI | 1427252923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS39964) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 14785) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-10-29 |