| NPI | 1427293760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH018554) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 12169) |
| 183500000X Pharmacist (Licence: LA 016398) | |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-15 |