| NPI | 1447529862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 13088) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH024727) |
| 183500000X Pharmacist (Licence: IL 051.293171) | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |