| NPI | 1477857217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS16899) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPO29585L) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |