| NPI | 1467838110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP449697) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0020825) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2016-08-23 |