| NPI | 1437592227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 16933) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 333694-1701) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |