| NPI | 1487646378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS32618) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PU4936) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2007-07-08 |