| NPI | 1447530092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 13554) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 13362) |
| 183500000X Pharmacist (Licence: IL 051.293796) | |
| 183500000X Pharmacist (Licence: AR PD10765) | |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |