| NPI | 1437541943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 11248) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 37137) |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2015-02-21 |