| NPI | 1487886925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 6915) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS41288) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |