| NPI | 1427485341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP446716) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS49133) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |