| NPI | 1497028963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS19781) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 13756) |
| 183500000X Pharmacist (Licence: MS E-06118) | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |