| NPI | 1427386754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA rph023326) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 34505) |
| 183500000X Pharmacist (Licence: MD 16060) | |
| 183500000X Pharmacist (Licence: NC 7821) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2013-09-19 |