| NPI | 1437202504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 10480) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202205297) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-07-21 |