| NPI | 1477701480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 8331) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 12328) |
| 183500000X Pharmacist (Licence: IA 18954) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |