| NPI | 1467570036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 37680) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302034308) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-02-22 |