| NPI | 1447523386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 14593) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 68863) |
| 183500000X Pharmacist (Licence: NE 14120) | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2019-04-17 |