| NPI | 1437523651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7406) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 18082-40) |
| Enumeration Date | 2015-11-26 |
| Last Update Date | 2015-11-26 |